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  INVESTMENT SCHEDULE

Bristol Chamber of Commerce Membership Application
 

Welcome! To join your Bristol Chamber of Commerce please complete the following information:

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Business Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Website:

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By checking the checkbox below, I consent to receive communications sent by or on my behalf of The Bristol Chamber of Commerce via regular mail, telephone, fax, or email.  
 

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Agree:

Primary Representative:

Title:

Secondary Representative:

Title:

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Investment Schedule (click here for more info)
 

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Brief description of your business:

 

Type of Business:

Date business was established:

Number of Full time employees:

Number of Part time employees:

Describe Business in 75 words or less.

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*The type of business determines how your business will be listed in the business directory. See back of sheet for examples of classifications and for the investment schedule.

Schedule used: (A,B,C,E,G)

 open schedule list

Non-profit membership:

   $160.00

All others: Base amount covers first 2 employees:

   $295.00

Individual membership check here if applicable:

 

Non-profit membership check here if applicable:

Number Employees:

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Number Employees:

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Number Employees:

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Number Employees:

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Total Investment:
 


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**Payment of Chamber Membership dues is deductible as an ordinary and necessary business expense**

***An annual 4% inflationary rate will be assessed each year at time of renewal of membership***

****Accounts 90 days past due will result in membership status being place in suspension****
 

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Method of Payment
 

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Check:

 

Cash:

 

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Invoice:

annual:

bi-annual:

yearly:

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Credit Card:

Visa:

Mastercard:

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